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*-SNTA <br />NA,Iffi <br />Plan ning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www,santa-ana.org <br />RES!DENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol{1 cBc 2013 <br />Solar Photovoltaic (PV) Checktist for Detached STNGLE FAMtLy RESIDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certification section below. A copy of this form shall be attached to each of rwo sets of plans, of <br />minimum 11" x 17' size. lf answerinq NO t o anv of the questions. olan ch eck shall be required <br />Proj ect Address: }.5S )\Io..lenci o..SFree} /flcclh <br />Contractor Company Name: <br />Contractor License Number: <br />l^/cs I Co,x+ G.EA <br />111 <br />2 <br />3 <br />6 <br />7 <br />4 <br />5 <br />YES NO <br />ZA <br />trtr <br />rza <br />E tr <br />,da <br />7A <br />ad <br />ZA <br />Are the following applicable to the proposed project? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.11 of the California Fire Code, and is this shown on the roof plan? <br />Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Will the PV array be flush mounted to the existing roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />Will the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />Will the PV system be installed with a space of 2" minimum to l0" maximum between <br />the underside of modules and the surface of the roof? <br />Will the PV system be installed wathout using any ballast system or counter-weight <br />system? <br />Will the anchors be installed with a maximum horizontal anchor spacing of 6 feet <br />and is this maximum horizontal spacing shown on the plans? <br />Will the minimum 5/16" lag screws be installed with a minimum ol 2-112 inch <br />embedment into roof rafters (with pre-drilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages of the plans stamped and signed by a California <br />licensed professional engineer? (including project specific site plan, pV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />8 <br />@tr <br />Print Name: <br />Phone Num <br />Signaturei <br />Oate: J <br />10 7a <br />I certify under penalty of perjury under the laws of the state of california that the above is true <br />ber <br />Email Address: 1- <br />t-1q <br />er )o <br />)..o i <br />n ' Co r"'r <br />Re! 1111912015 <br />/A <br />goo <br />}-( <br />n q <br />9.